Lifetime Eyecare P.C. in Jenison - Optometrist
Lifetime Eyecare P.C. - NPI 1285836213
Lifetime Eyecare P.C. is a Optometrist in Jenison, Michigan. Lifetime Eyecare P.C. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lifetime Eyecare P.C. is 1285836213. The last update date is 2009-12-23.
Lifetime Eyecare P.C.'s current location address is 597 Baldwin St, Jenison, Michigan. You can contact this provider via phone number 6164570760. The mailing address for Lifetime Eyecare P.C. is 597 Baldwin St, Jenison, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Eyecare P.C. |
|---|---|
| Address | 597 Baldwin St, Jenison, Michigan |
| Phone Number | 6164570760 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultze Dale Gordon |
| Credentials | OD |
| Telephone Number | 6164570760 |
NPI Number Detail
| NPI Number | 1285836213 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2009-12-23 |
Provider Mailing Address Detail
| Address | 597 Baldwin St |
|---|---|
| City | Jenison |
| State | Michigan (MI) |
| Post Code | 494287994 |
| Phone Number | 6164570760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002394 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identification code assigned to Lifetime Eyecare P.C. by the Centers for Medicare & Medicaid Services?
The Lifetime Eyecare P.C. has been issued the NPI (National Provider Identifier) 1285836213. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lifetime Eyecare P.C. located?
The Lifetime Eyecare P.C. is located at 597 Baldwin St, Jenison, MI 494287994.
What is the area of specialization for Lifetime Eyecare P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lifetime Eyecare P.C. is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285836213 to Lifetime Eyecare P.C.?
The Centers for Medicare & Medicaid Services assigned the 1285836213 to Lifetime Eyecare P.C. on 2007-06-01.
When was the information related to Lifetime Eyecare P.C. most recently updated or refreshed?
The details pertaining to the Lifetime Eyecare P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-23.